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WO1999052449A1 - Instrument de chirurgie - Google Patents

Instrument de chirurgie Download PDF

Info

Publication number
WO1999052449A1
WO1999052449A1 PCT/US1999/008201 US9908201W WO9952449A1 WO 1999052449 A1 WO1999052449 A1 WO 1999052449A1 US 9908201 W US9908201 W US 9908201W WO 9952449 A1 WO9952449 A1 WO 9952449A1
Authority
WO
WIPO (PCT)
Prior art keywords
handle
light source
retractor blade
instrument
coupled
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1999/008201
Other languages
English (en)
Other versions
WO1999052449A8 (fr
Inventor
Jeffrey Bolser
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to EP99919841A priority Critical patent/EP1071371A4/fr
Publication of WO1999052449A1 publication Critical patent/WO1999052449A1/fr
Publication of WO1999052449A8 publication Critical patent/WO1999052449A8/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00008—Vein tendon strippers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00969—Surgical instruments, devices or methods used for transplantation

Definitions

  • the present invention relates generally to surgical instruments and more particularly to a surgical retractor well suited to harvesting saphenous veins for use in coronary bypass operations.
  • Harvesting segments of the saphenous vein from the leg is a surgical procedure associated with coronary artery surgery. In general, segments of the patient's saphenous vein are removed, divided and repositioned i the coronary arterial system to improve coronary blood flow.
  • the surgical retractor of the present invention is an easily manipulated illuminated device for insertion into the surgical wound to illuminate the surgical field.
  • the device In use the device is manipulated by the physician and can be used to expose sections of the vein and it may be used to facilitate blunt dissection along the length of the vein. In operation the device can be used to simultaneously retract tissue and illuminate the surgical field at the same location.
  • the illustrated embodiments of the device include a light source located near the distal tip of the retractor with an integral or remote power source of the light source.
  • Fig. 1 is an illustrative view of the surgical retractor
  • Fig. 2 is an illustrative view of the surgical retractor.
  • Fig. 1 shows a side view of an embodiment of the surgical instrument 10.
  • a handle 12 is provided to receive the hand of the physician.
  • a power source is provided and is illustrated by a pair of batteries illustrated in the figure by battery 14 and battery 16 which may be located inside of the handle 12.
  • the proximal end of the handle 12 includes a switch assembly 18 which can be used to turn on the light source 22 or lamp.
  • a retractor blade 20 is anchored at the distal end of the handle 12. In general this retractor blade lies in a single plane and bends "away" from the handle 12. Near the distal tip of the retractor blade 20 is a lamp 22 or other source of illumination.
  • a single incandescent bulb is shown mounted on a web 24 spanning the distance between the first limb 26 and the second limb 28 of the retractor blade 20. In general it is best to mount the bulb such that the cone of illumination 30 is directed away from the handle 12. In use this illumination source directs light into the surgical field surrounding and defined by the distal tip of the retractor blade.
  • Fig. 2 shows an end view of the surgical instrument 10. In this view the two members 26 and 28 can be seen forming conductors for the light source 22.
  • the web 24 can be seen spanning the distance between the two members.
  • the web 24 is formed from a plastic material and the web adds mechanical strength to support the two members 26 and 28.
  • the circuit to the power source is completed by suitable wiring 32 which couples the member 26 conductor to a battery 16.
  • a complimentary wire 34 couples member 28 to the switch assembly 18.
  • the user with line of sight along line 35 from eye position 37 observes the surgical field between the two limbs 26 and limb 27.
  • the line 35 forms an axis which lies in the plane defined by the two limb members 26 and 28.
  • the members 26 and 28 are shown as solid wire forms but alternate cross section forms are practical including square and rectangular shapes. However or tubular shape may be used as well.
  • a remote power supply could be coupled to the handle via connector 36 to power the light source 22 from a remote supply (not shown).
  • the switch may take any conventional form or may be integrated into a remote power pack.
  • the "bend" of the retractor blade 20 is acute with respect to the handle as indicated by angle A but other angular relationships are operable as well.
  • the handle could be a reusable element with removable and disposable retractor blades temporally attached or coupled to the handle.
  • the use of the members 26 and 28 as the conductors is preferred but separate wires may be used to deliver power to the light source 22.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention porte sur un instrument de chirurgie (10) utilisé pour des opérations de prélèvement sur la veine saphène, qui assure simultanément l'écartement des tissus et l'exposition de parties de la veine. Ledit instrument comporte une poignée, une lame d'écarteur (20) fixée à la poignée, et une source lumineuse (22) située à l'extrémité distale de la lame, et son alimentation (14, 16). Ladite source lumineuse produit un faisceau conique (30) dirigé vers le champ opératoire environnant délimité par l'extrémité distale de la lame de l'écarteur.
PCT/US1999/008201 1998-04-14 1999-04-14 Instrument de chirurgie Ceased WO1999052449A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP99919841A EP1071371A4 (fr) 1998-04-14 1999-04-14 Instrument de chirurgie

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/060,021 1998-04-14
US09/060,021 US5967971A (en) 1998-04-14 1998-04-14 Surgical instrument

Publications (2)

Publication Number Publication Date
WO1999052449A1 true WO1999052449A1 (fr) 1999-10-21
WO1999052449A8 WO1999052449A8 (fr) 2000-06-22

Family

ID=22026828

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/008201 Ceased WO1999052449A1 (fr) 1998-04-14 1999-04-14 Instrument de chirurgie

Country Status (3)

Country Link
US (1) US5967971A (fr)
EP (1) EP1071371A4 (fr)
WO (1) WO1999052449A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002019919A3 (fr) * 2000-09-05 2002-05-02 Genzyme Corp Ecarteur pelvien profond eclaire

Families Citing this family (65)

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US6739744B2 (en) * 1997-07-02 2004-05-25 Lumitex, Inc. Light delivery systems and applications thereof
US6228025B1 (en) 1998-05-01 2001-05-08 Genzyme Corporation Illuminated saphenous vein retractor
US6585727B1 (en) 1999-10-22 2003-07-01 Genzyme Corporation Surgical instrument light source and surgical illumination method
US6322499B1 (en) 2000-01-20 2001-11-27 Genzyme Corporation Pivotal and illuminated saphenous vein retractor
US6497654B1 (en) 2000-02-18 2002-12-24 Genzyme Corporation Illuminated rectal retractor
US6428473B1 (en) 2000-02-18 2002-08-06 Genzyme Corporation Illuminated rectal retractor
US6602188B2 (en) * 2001-02-22 2003-08-05 Jeffrey William Bolser Surgical instrument and associated method
US6817978B2 (en) 2002-01-23 2004-11-16 Teleflex-Ct Devices Incorporated Illuminated retractor for use in connection with harvesting a blood vessel from the arm
US6805666B2 (en) 2002-05-23 2004-10-19 Donna D. Holland Pivotal and illuminated saphenous vein retractor with tapered design
US7223233B2 (en) * 2002-08-02 2007-05-29 Warsaw Orthopedic, Inc. Systems and techniques for illuminating a surgical space
CN100366207C (zh) * 2002-08-02 2008-02-06 华沙整形外科股份有限公司 用于照明手术空间的系统和技术
US7371213B2 (en) * 2003-01-31 2008-05-13 Zimmer Technology, Inc. Lit retractor
US7503894B2 (en) 2003-01-31 2009-03-17 Zimmer Technology, Inc. Lit retractor
US20050182301A1 (en) * 2003-01-31 2005-08-18 Zimmer Technology, Inc. Lit retractor
US7481834B2 (en) 2003-04-14 2009-01-27 Tryton Medical, Inc. Stent for placement at luminal os
US8109987B2 (en) 2003-04-14 2012-02-07 Tryton Medical, Inc. Method of treating a lumenal bifurcation
US7717953B2 (en) 2004-10-13 2010-05-18 Tryton Medical, Inc. Delivery system for placement of prosthesis at luminal OS
US7972372B2 (en) 2003-04-14 2011-07-05 Tryton Medical, Inc. Kit for treating vascular bifurcations
US7758630B2 (en) 2003-04-14 2010-07-20 Tryton Medical, Inc. Helical ostium support for treating vascular bifurcations
US8083791B2 (en) 2003-04-14 2011-12-27 Tryton Medical, Inc. Method of treating a lumenal bifurcation
US7731747B2 (en) 2003-04-14 2010-06-08 Tryton Medical, Inc. Vascular bifurcation prosthesis with multiple thin fronds
US8480696B2 (en) 2004-06-16 2013-07-09 Medtronic, Inc. Minimally invasive coring vein harvester
US7762951B2 (en) * 2004-06-25 2010-07-27 Medtronic, Inc. Vein harvesting system including dilator shaft and removable retractor housing
US20060036274A1 (en) * 2004-06-25 2006-02-16 Usher Raymond W One-piece vessel harvester
US7300400B2 (en) * 2005-06-27 2007-11-27 Automated Medical Products Corporation Pediatric liver retractor
US20070060795A1 (en) * 2005-09-14 2007-03-15 Spotlight Surgical, Inc. Lighted surgical retractors with LED illumination light engines
US20070118119A1 (en) * 2005-11-18 2007-05-24 Zimmer Spine, Inc. Methods and device for dynamic stabilization
US8409088B2 (en) 2006-01-18 2013-04-02 Invuity, Inc. Retractor illumination system
US8012089B2 (en) * 2006-05-22 2011-09-06 Ardeshir Bayat Disposable expandable cordless lighted retractor
US7384392B2 (en) * 2006-05-22 2008-06-10 Ardeshir Bayat Disposable expandable cordless lighted retractor
US8430813B2 (en) 2006-05-26 2013-04-30 Depuy Spine, Inc. Illuminated surgical access system including a surgical access device and integrated light emitter
US8047987B2 (en) 2006-05-26 2011-11-01 Invuity, Inc. Blade insert illuminator
US8029544B2 (en) * 2007-01-02 2011-10-04 Zimmer Spine, Inc. Spine stiffening device
KR100875685B1 (ko) 2007-03-26 2008-12-23 이은규 수술용 견인기
US20080287937A1 (en) * 2007-05-15 2008-11-20 Warsaw Orthopedic, Inc. Surgical Instrument for Illuminating and Monitoring a Surgical Site
US8088066B2 (en) 2007-10-24 2012-01-03 Invuity, Inc. Blade insert illuminator
GB0800835D0 (en) * 2008-01-17 2008-02-27 Cardioprec Ltd Retractor
US11382711B2 (en) 2008-08-13 2022-07-12 Invuity, Inc. Cyclo olefin polymer and copolymer medical devices
US8382818B2 (en) 2009-07-02 2013-02-26 Tryton Medical, Inc. Ostium support for treating vascular bifurcations
GB201015746D0 (en) 2010-09-21 2010-10-27 Cardioprec Ltd Optical switch
US9913577B2 (en) 2010-09-28 2018-03-13 Obp Medical Corporation Speculum
EP2642946B1 (fr) 2010-11-24 2023-08-16 Poseidon Medical Inc. Support de traitement de bifurcations vasculaires
WO2013162724A1 (fr) 2012-04-26 2013-10-31 Tryton Medical, Inc. Support pour traiter des bifurcations vasculaires
WO2014133545A1 (fr) * 2013-03-01 2014-09-04 Martin Philip J Abaisse-langue chirurgical
CA3169888A1 (fr) 2013-04-01 2014-10-09 Vinod V. Pathy Dispositif d'eclairage
USD938095S1 (en) 2013-04-01 2021-12-07 Pathy Medical, Llc Lighting device
EP3099248A4 (fr) * 2014-01-28 2017-01-25 Invuity, Inc. Éclairage chirurgical mobile
US10420538B2 (en) 2015-02-05 2019-09-24 Obp Medical Corporation Illuminated surgical retractor
US9867602B2 (en) 2015-02-05 2018-01-16 Obp Medical Corporation Illuminated surgical retractor
US10433960B1 (en) 2015-05-07 2019-10-08 Cardioprecision Limited Method and system for transcatheter intervention
US10939899B2 (en) 2015-06-03 2021-03-09 Obp Medical Corporation End cap assembly for retractor and other medical devices
CN108348229A (zh) 2015-06-03 2018-07-31 Obp医学公司 牵开器
US10881387B2 (en) 2015-06-03 2021-01-05 Obp Medical Corporation Retractor
US10722621B2 (en) 2016-07-11 2020-07-28 Obp Medical Corporation Illuminated suction device
WO2018140208A1 (fr) 2017-01-24 2018-08-02 Medtronic Advanced Energy Llc Écarteur chirurgical éclairé modulaire
USD846119S1 (en) 2017-01-24 2019-04-16 Medtronic Advanced Energy Llc Lighted surgical retractor base
WO2019018470A1 (fr) 2017-07-18 2019-01-24 Obp Medical Corporation Acte à effraction minimale sans contact (mint) pour prélever la grande veine saphène (gsv) et hydrodissecteur et écarteur veineux destinés à être utilisés pendant l'acte à mint
US10278572B1 (en) 2017-10-19 2019-05-07 Obp Medical Corporation Speculum
US10799229B2 (en) 2018-02-20 2020-10-13 Obp Medical Corporation Illuminated medical devices
US11172982B2 (en) 2018-07-03 2021-11-16 Terumo Cardiovascular Systems Corporation Integrated grounding electrodes for electrocautery vessel harvester
USD911521S1 (en) 2019-02-19 2021-02-23 Obp Medical Corporation Handle for medical devices including surgical retractors
USD904607S1 (en) 2019-05-07 2020-12-08 Obp Medical Corporation Nasal retractor
US10959609B1 (en) 2020-01-31 2021-03-30 Obp Medical Corporation Illuminated suction device
US10966702B1 (en) 2020-02-25 2021-04-06 Obp Medical Corporation Illuminated dual-blade retractor
US12318080B2 (en) 2023-07-21 2025-06-03 Coopersurgical, Inc. Illuminated surgical retractor capable of hand-held operation and of being mounted to a fixed frame

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US339754A (en) * 1885-04-11 1886-04-13 foote
DE723178C (de) * 1940-11-02 1942-07-30 Balder Schoene Mundspatel mit Gluehlampe
US2296793A (en) * 1942-02-02 1942-09-22 Harry M Kirschbaum Surgical retractor
US2690745A (en) * 1952-04-21 1954-10-05 Clifton D Govan Tongue blade
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US4344419A (en) * 1979-12-20 1982-08-17 Kermit Burgin Acrylooptic tongue depressor and handle therefor
US5667480A (en) 1995-10-20 1997-09-16 Ethicon Endo-Surgery, Inc. Method and devices for endoscopic vessel harvesting

Family Cites Families (4)

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DE8317820U1 (de) * 1983-10-27 Helmut Hund KG, 6330 Wetzlar Medizinisches Instrument
US1706500A (en) * 1927-08-01 1929-03-26 Henry J Smith Surgical retractor
US4934352A (en) * 1982-10-22 1990-06-19 Sullivan Jr Eugene M Surgical retractor handle construction
US4562832A (en) * 1984-01-21 1986-01-07 Wilder Joseph R Medical instrument and light pipe illumination assembly

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US339754A (en) * 1885-04-11 1886-04-13 foote
DE723178C (de) * 1940-11-02 1942-07-30 Balder Schoene Mundspatel mit Gluehlampe
US2296793A (en) * 1942-02-02 1942-09-22 Harry M Kirschbaum Surgical retractor
US2690745A (en) * 1952-04-21 1954-10-05 Clifton D Govan Tongue blade
US4344419A (en) * 1979-12-20 1982-08-17 Kermit Burgin Acrylooptic tongue depressor and handle therefor
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US5667480A (en) 1995-10-20 1997-09-16 Ethicon Endo-Surgery, Inc. Method and devices for endoscopic vessel harvesting

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002019919A3 (fr) * 2000-09-05 2002-05-02 Genzyme Corp Ecarteur pelvien profond eclaire
US6554768B1 (en) 2000-09-05 2003-04-29 Genzyme Corporation Illuminated deep pelvic retractor

Also Published As

Publication number Publication date
WO1999052449A8 (fr) 2000-06-22
EP1071371A1 (fr) 2001-01-31
EP1071371A4 (fr) 2004-03-24
US5967971A (en) 1999-10-19

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